LISETTE LACOSTA (NPI# 1174892053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174892053 |
| Entity Type | Individual |
| Full Name | LISETTE LACOSTA |
| Credential | MS |
| Practice Address |
1414 Nw 107th Ave Ste 301 Sweetwater FL 33172-2742 |
| Practice Telephone | 7868605161 |
| Practice Fax Number | 8137622901 |
| Mailing Telephone | 7868605161 |
| Mailing Fax Number | 8137622901 |
| Enumeration Date | 2011-12-21 |
| Last Update Date | 2019-07-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 106E00000X | Assistant Behavior Analyst | 0-18-8579 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Sw 27th Ave, Suite G20, Miami, FL 331353031 | 3056437800 | 3056431345 |
| Street Address |
1414 NW 107TH AVE STE 301 |
| City | SWEETWATER |
| State | FL |
| Zip Code | 33172-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568633 | Sweetwater Community Mental Health Center LLC | Community/Behavioral Health | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2020-11-04 |
| 1699393157 | A &s Wellness Center | Clinic/Center | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2020-07-10 |
| 1235761214 | Arelys Montejo | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2020-02-07 |
| 1306484746 | Amanda A Carreras | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2019-12-17 |
| 1922641455 | Ashley Elisa Castillo | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2019-10-28 |
| 1134778038 | Anthony Joel Eite | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2019-09-04 |
| 1952958910 | Victor M Valdivia Sr. | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2019-08-23 |
| 1023662350 | Saray Rebeca Rivalta Fernandez | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2019-07-25 |
| 1194379537 | Andres Duarte | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2019-07-24 |
| 1093276776 | Kiara Lavin | Behavior Technician | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172-2742 | 2019-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366463 | Magela De Las Mercedes Rodriguez | Behavior Technician | 11252 Nw 6 Street, Miami, FL 33172 | 2018-11-27 |
| 1477030666 | Natacha Garcia | Behavior Technician | 181 Nw 97 Ave Apto 416, Miami, FL 33172 | 2018-07-20 |
| 1720578701 | Marisela Hernandez | Behavioral Analyst | 10825 Nw 7th St Apt 12, Miami, FL 33172 | 2018-05-15 |
| 1083113054 | Fuerza Vital Medical Institute, Corp | Speech-Language Pathologist | 8725 Nw 18 Terr Suite 209, Doral, FL 33172 | 2018-02-06 |
| 1063923522 | Kristen Nicole Otero | Counselor | 1414 Nw 107 Ave Suite 109, Doral, FL 33172 | 2017-10-23 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1861901944 | Lyanne M Melendez | Speech-Language Pathologist | 1750 Nw 107 Ave, Unit P-901, Miami, FL 33172 | 2017-09-21 |
| 1295259166 | Family Tender Care Services Inc | Behavioral Analyst | 9360 Fontainebleau Blvd, Unit 514, Miami, FL 33172 | 2017-08-01 |
| 1992229074 | Maria F Palabez | Behavior Technician | 9369 Fontainebleau Blvd J225, Miami, FL 33172 | 2017-07-31 |
| 1700306602 | Jenny Lemus | Behavior Technician | 10200 Nw 25th St Suite 205, Doral, FL 33172 | 2017-06-21 |
| Find all providers in zip 33172 | ||||
| Taxonomy Code | 106E00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Assistant Behavior Analyst |
| An assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans. |
| Notes: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518467786 | Enelyn Martin | Assistant Behavior Analyst | 1414 Nw 107th Ave Ste 301, Sweetwater, FL 33172 | 2018-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992305924 | Irialis Gonzalez Gutierrez | Assistant Behavior Analyst | 6261 W Flagler St Apt 22, Miami, FL 33144-3024 | 2020-10-28 |
| 1265031157 | Raquel Daetz Garcia | Assistant Behavior Analyst | 11262 Sw 230th Ter, Miami, FL 33170-7612 | 2020-10-21 |
| 1790383149 | Jorge L Hernandez Aguilar | Assistant Behavior Analyst | 14236 Sw 91st St, Miami, FL 33186-7802 | 2020-10-16 |
| 1114525839 | Stepping Stones Supports LLC | Assistant Behavior Analyst | 5221 Nw 81st Ter, Lauderhill, FL 33351-5050 | 2020-10-14 |
| 1912505884 | Maria Matilde Alonso Urquijo | Assistant Behavior Analyst | 7317 Sw 22nd St, Miami, FL 33155-1426 | 2020-10-13 |
| 1093312647 | Rody Blanco | Assistant Behavior Analyst | 18512 Field Club Way, Tampa, FL 33647-1823 | 2020-10-07 |
| 1699372870 | Karen Zhao | Assistant Behavior Analyst | 8303 Sw 107th Ave Apt A, Miami, FL 33173-3805 | 2020-10-01 |
| 1508473802 | Camryn Nichole White | Assistant Behavior Analyst | 301 South Florida Ave, Lakeland, FL 33801 | 2020-09-30 |
| 1689281453 | Betsy Escobar Lozada | Assistant Behavior Analyst | 601 Ludlam Dr Apt 1, Miami Springs, FL 33166-4971 | 2020-09-25 |
| 1710593991 | Odalis De Las Mercedes Marrero | Assistant Behavior Analyst | 6502 Blue Ribbon Ln Apt 301, Tampa, FL 33625-2480 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | SWEETWATER |
| Zip Code | 33172 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.